Pub Date : 2021-05-24DOI: 10.1080/13575279.2021.1920368
E. J. Khoo, Lo Yee Miin, Ng Xin Yin, Mark Kar Man, Leonna Lim Suk Hui, Lee Pei May, C. Wee, K. Ganasegeran
In today’s highly demanding health care industry, paediatricians realise the need to focus on what matters to parents as a means to improve their service quality and health care delivery. This stud...
{"title":"Family and Parental Decision Making When Choosing a Paediatric General Practice Service: What Factors Mattered Most?","authors":"E. J. Khoo, Lo Yee Miin, Ng Xin Yin, Mark Kar Man, Leonna Lim Suk Hui, Lee Pei May, C. Wee, K. Ganasegeran","doi":"10.1080/13575279.2021.1920368","DOIUrl":"https://doi.org/10.1080/13575279.2021.1920368","url":null,"abstract":"In today’s highly demanding health care industry, paediatricians realise the need to focus on what matters to parents as a means to improve their service quality and health care delivery. This stud...","PeriodicalId":35141,"journal":{"name":"Child Care in Practice","volume":"1 1","pages":"1-18"},"PeriodicalIF":1.9,"publicationDate":"2021-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/13575279.2021.1920368","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43885401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-20DOI: 10.1080/13575279.2021.1918639
G. Breslin, S. Shannon, G. Prentice, M. Rosato, G. Leavey
ABSTRACT Background Adolescent mental illness is of increasing concern, with prevalence increasing especially in females in the United Kingdom. While service-related barriers can deter help-seeking, the role of family support and engagement in family activities, and attitudes towards seeking help from a doctor has received little attention. Studies exploring help-seeking from family and medical practitioners have done so without incorporating theories of behaviour change. This study aims to develop a model of adolescent help-seeking using the Theory of Planned Behaviour (TPB). Method A cross-sectional survey of 1639 male and females aged 13–17 years in Northern Ireland. Structural Equation Modelling determined fit for TBP factors, with the addition of gender, experience of mental health issues, and engagement in family activities. Results The Structural Equation Model suggests an adequate description of the relationships between TPB variables [χ 2(639) = 8302.36, p < .001; RMSEA = 0.09; SRMR = 0.06; CFI = 0.92; IFI = 0.92], with significant variance (R 2) of up to 61% (Intentions to Seek Help from Family) and 24% (Intention to Seek Help from Medical Professionals) explained. Males (compared to females) reported a more supportive family life, fewer mental health problems, more trust in doctors, less prosocial behaviour, more confidence discussing mental health with a doctor, and greater intentions to seek family or medical professional help when having emotional/mental health problems. Conclusions When supporting adolescent’s gender, engagement with family and trust in doctors should be considered, especially where they have experienced mental health issues and may be less willing to seek help.
{"title":"Adolescent Mental Health Help-Seeking from Family and Doctors: Applying the Theory of Planned Behaviour to the Northern Ireland Schools and Wellbeing Study","authors":"G. Breslin, S. Shannon, G. Prentice, M. Rosato, G. Leavey","doi":"10.1080/13575279.2021.1918639","DOIUrl":"https://doi.org/10.1080/13575279.2021.1918639","url":null,"abstract":"ABSTRACT Background Adolescent mental illness is of increasing concern, with prevalence increasing especially in females in the United Kingdom. While service-related barriers can deter help-seeking, the role of family support and engagement in family activities, and attitudes towards seeking help from a doctor has received little attention. Studies exploring help-seeking from family and medical practitioners have done so without incorporating theories of behaviour change. This study aims to develop a model of adolescent help-seeking using the Theory of Planned Behaviour (TPB). Method A cross-sectional survey of 1639 male and females aged 13–17 years in Northern Ireland. Structural Equation Modelling determined fit for TBP factors, with the addition of gender, experience of mental health issues, and engagement in family activities. Results The Structural Equation Model suggests an adequate description of the relationships between TPB variables [χ 2(639) = 8302.36, p < .001; RMSEA = 0.09; SRMR = 0.06; CFI = 0.92; IFI = 0.92], with significant variance (R 2) of up to 61% (Intentions to Seek Help from Family) and 24% (Intention to Seek Help from Medical Professionals) explained. Males (compared to females) reported a more supportive family life, fewer mental health problems, more trust in doctors, less prosocial behaviour, more confidence discussing mental health with a doctor, and greater intentions to seek family or medical professional help when having emotional/mental health problems. Conclusions When supporting adolescent’s gender, engagement with family and trust in doctors should be considered, especially where they have experienced mental health issues and may be less willing to seek help.","PeriodicalId":35141,"journal":{"name":"Child Care in Practice","volume":"28 1","pages":"522 - 535"},"PeriodicalIF":1.9,"publicationDate":"2021-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/13575279.2021.1918639","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41637077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-30DOI: 10.1080/13575279.2021.1910488
Francesca Dicé, P. Dolce, Assunta Maiello, M. Freda
{"title":"Sharing Medical Decisions with the Child. An Exploratory Survey in Paediatric Primary Care.","authors":"Francesca Dicé, P. Dolce, Assunta Maiello, M. Freda","doi":"10.1080/13575279.2021.1910488","DOIUrl":"https://doi.org/10.1080/13575279.2021.1910488","url":null,"abstract":"","PeriodicalId":35141,"journal":{"name":"Child Care in Practice","volume":"1 1","pages":"1-12"},"PeriodicalIF":1.9,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/13575279.2021.1910488","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43008038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-30DOI: 10.1080/13575279.2021.1910489
Sapwarobol Suwimol, Tirapongporn Hataichanok
{"title":"Impact of a Novel Multicomponent Nutrition Program on Diet Consumption among Preschool Children","authors":"Sapwarobol Suwimol, Tirapongporn Hataichanok","doi":"10.1080/13575279.2021.1910489","DOIUrl":"https://doi.org/10.1080/13575279.2021.1910489","url":null,"abstract":"","PeriodicalId":35141,"journal":{"name":"Child Care in Practice","volume":" ","pages":"1-12"},"PeriodicalIF":1.9,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/13575279.2021.1910489","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43350040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-26DOI: 10.1080/13575279.2021.1902279
Else-Marie Augusti, M. Myhre
Children who experience sexual or physical abuse often delay their disclosure. This study aimed to clarify the barriers and facilitators to abuse disclosure in a sample of children and adolescents ...
{"title":"The Barriers and Facilitators to Abuse Disclosure and Psychosocial Support Needs in Children and Adolescents Around the Time of Disclosure","authors":"Else-Marie Augusti, M. Myhre","doi":"10.1080/13575279.2021.1902279","DOIUrl":"https://doi.org/10.1080/13575279.2021.1902279","url":null,"abstract":"Children who experience sexual or physical abuse often delay their disclosure. This study aimed to clarify the barriers and facilitators to abuse disclosure in a sample of children and adolescents ...","PeriodicalId":35141,"journal":{"name":"Child Care in Practice","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2021-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/13575279.2021.1902279","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48904684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-26DOI: 10.1080/13575279.2021.1902785
N. Myburgh, P. Muris, Helene Loxton
Children within historically disadvantaged non-Western South African communities are considered as particularly vulnerable to the development of anxiety problems. Although the need for accessible m...
历史上处于不利地位的非西非社区的儿童被认为特别容易出现焦虑问题。尽管需要无障碍的。。。
{"title":"Promoting Braveness in Children: A Pilot Study on the Effects of a Brief, Intensive CBT-based Anxiety Prevention Programme Conducted in the South African Context","authors":"N. Myburgh, P. Muris, Helene Loxton","doi":"10.1080/13575279.2021.1902785","DOIUrl":"https://doi.org/10.1080/13575279.2021.1902785","url":null,"abstract":"Children within historically disadvantaged non-Western South African communities are considered as particularly vulnerable to the development of anxiety problems. Although the need for accessible m...","PeriodicalId":35141,"journal":{"name":"Child Care in Practice","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2021-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/13575279.2021.1902785","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46794577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-19DOI: 10.1080/13575279.2021.1898340
Shimmaa Moustafa
{"title":"Effect of Active Distraction on Children’s Pain and Behavioral Response during Intravenous Catheter Insertion","authors":"Shimmaa Moustafa","doi":"10.1080/13575279.2021.1898340","DOIUrl":"https://doi.org/10.1080/13575279.2021.1898340","url":null,"abstract":"","PeriodicalId":35141,"journal":{"name":"Child Care in Practice","volume":"1 1","pages":"1-13"},"PeriodicalIF":1.9,"publicationDate":"2021-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/13575279.2021.1898340","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46592545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-07DOI: 10.1080/13575279.2021.1898339
Reginald Loots, B. Yan, Hilda Vember
ABSTRACT Malnutrition is a global concern and it impacts negatively on mortality, morbidity, educability and productivity. Millions of children in South Africa are affected. This study examines the key factors associated with malnutrition among children aged six months to five years in a semi-rural area of the Western Cape, South Africa. A quantitative research approach was employed by using a descriptive and exploratory design. All parents and caregivers who accompanied the children (under the age of five years old), visiting the clinic, were given an opportunity to participate in the study on a voluntary basis. A self-administered questionnaire was distributed to parents and caregivers (n=100) for data collection. SPSS statistical software (V24) was used to analyse the data. The results indicated that the factors were grouped and the Cronbach’s alpha coefficient was determined as greater than 0.7. The results revealed that these factors included obesity (26%), underweight (51%), stunting (14%), severe acute (4%) and moderate acute (5%) malnutrition. The results also revealed that the majority of households were single mothers with low income (51% have a monthly income of between R2 000 and R5 000, and 30% of families who earn a monthly salary of less than R2 000) and a poor educational background. This study concluded that more male children were diagnosed with malnutrition than females. The employment status of the mothers also affects the nutritional status of the child. More children from unemployed mothers and a few children from self-employed mothers had moderate acute malnutrition compared to employed mothers who had no children suffering from malnutrition.
{"title":"Factors Associated with Malnutrition among Children Aged Six Months to Five Years in a Semi-Rural Area of the Western Cape, South Africa","authors":"Reginald Loots, B. Yan, Hilda Vember","doi":"10.1080/13575279.2021.1898339","DOIUrl":"https://doi.org/10.1080/13575279.2021.1898339","url":null,"abstract":"ABSTRACT Malnutrition is a global concern and it impacts negatively on mortality, morbidity, educability and productivity. Millions of children in South Africa are affected. This study examines the key factors associated with malnutrition among children aged six months to five years in a semi-rural area of the Western Cape, South Africa. A quantitative research approach was employed by using a descriptive and exploratory design. All parents and caregivers who accompanied the children (under the age of five years old), visiting the clinic, were given an opportunity to participate in the study on a voluntary basis. A self-administered questionnaire was distributed to parents and caregivers (n=100) for data collection. SPSS statistical software (V24) was used to analyse the data. The results indicated that the factors were grouped and the Cronbach’s alpha coefficient was determined as greater than 0.7. The results revealed that these factors included obesity (26%), underweight (51%), stunting (14%), severe acute (4%) and moderate acute (5%) malnutrition. The results also revealed that the majority of households were single mothers with low income (51% have a monthly income of between R2 000 and R5 000, and 30% of families who earn a monthly salary of less than R2 000) and a poor educational background. This study concluded that more male children were diagnosed with malnutrition than females. The employment status of the mothers also affects the nutritional status of the child. More children from unemployed mothers and a few children from self-employed mothers had moderate acute malnutrition compared to employed mothers who had no children suffering from malnutrition.","PeriodicalId":35141,"journal":{"name":"Child Care in Practice","volume":"28 1","pages":"625 - 638"},"PeriodicalIF":1.9,"publicationDate":"2021-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/13575279.2021.1898339","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45595855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-07DOI: 10.1080/13575279.2021.1901655
B. Doove, B. A. A. H. Schiffelers, C. Lukkien, J. Os, Frans J. M. Feron, M. Drukker
ABSTRACT In this article, the association between parental and professional caregivers’ perceptions of early life stress (ELS) and the level of preschool social participation was examined, as was the possible moderating effect of parental health. In a community-based study, both parents and professional caregivers of 346 children aged 3 years provided information about child and environmental factors. Results showed that children with ELS more often experienced distress (OR 1.3, p < 0.001), had more peer problems (SDQ: B=0.1, p < 0.01), and more often received extra support according to professional caregivers (OR 1.3, p < 0.01). Parents more often reported concerns (OR=1.3, p < 0.001), a greater number of concerns (B=0.3, p < 0.001), and perceived more difficulties in parenting (“parenting” VAS: B=−2.5, p < 0.001). Associations were stronger for children of parents with “poor health”. For personalized family-centred health care, Preventive Child Health Care should systematically explore caregivers’ perceptions and concerns of ELS, parental health and child social participation.
摘要本文探讨了父母和专业照顾者对早期生活压力的感知与学前社会参与水平之间的关系，以及父母健康状况可能起到的调节作用。在一项基于社区的研究中，346名3岁儿童的父母和专业照顾者提供了儿童和环境因素的信息。结果显示，ELS患儿更容易经历痛苦(OR 1.3, p < 0.001)，更容易出现同伴问题(SDQ: B=0.1, p < 0.01)，更容易得到专业照顾者的额外支持(OR 1.3, p < 0.01)。父母更常报告担忧(OR=1.3, p < 0.001)，担忧的数量更多(B=0.3, p < 0.001)，并且在育儿方面感到更多困难(“育儿”VAS: B= - 2.5, p < 0.001)。对于父母"健康状况不佳"的孩子，这种关联更强。对于个性化的以家庭为中心的卫生保健，预防性儿童卫生保健应系统地探讨照顾者对ELS、父母健康和儿童社会参与的看法和关注。
{"title":"Preschool Social Participation, the Impact of Early Life Stress and Parental Health","authors":"B. Doove, B. A. A. H. Schiffelers, C. Lukkien, J. Os, Frans J. M. Feron, M. Drukker","doi":"10.1080/13575279.2021.1901655","DOIUrl":"https://doi.org/10.1080/13575279.2021.1901655","url":null,"abstract":"ABSTRACT In this article, the association between parental and professional caregivers’ perceptions of early life stress (ELS) and the level of preschool social participation was examined, as was the possible moderating effect of parental health. In a community-based study, both parents and professional caregivers of 346 children aged 3 years provided information about child and environmental factors. Results showed that children with ELS more often experienced distress (OR 1.3, p < 0.001), had more peer problems (SDQ: B=0.1, p < 0.01), and more often received extra support according to professional caregivers (OR 1.3, p < 0.01). Parents more often reported concerns (OR=1.3, p < 0.001), a greater number of concerns (B=0.3, p < 0.001), and perceived more difficulties in parenting (“parenting” VAS: B=−2.5, p < 0.001). Associations were stronger for children of parents with “poor health”. For personalized family-centred health care, Preventive Child Health Care should systematically explore caregivers’ perceptions and concerns of ELS, parental health and child social participation.","PeriodicalId":35141,"journal":{"name":"Child Care in Practice","volume":"28 1","pages":"653 - 670"},"PeriodicalIF":1.9,"publicationDate":"2021-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/13575279.2021.1901655","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44424534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-03DOI: 10.1080/13575279.2021.1886548
C. Noctor
As we wade through the unchartered waters of a global pandemic, it is timely that the April 2021 edition of the Child Care in Practice (CCiP) Journal is dedicated to young people’s mental health and wellbeing. Although this cohort are not represented significantly in the mortality figures associated with Covid—19, they have been affected in many other ways; none more significantly than emotionally and psychologically. As someone who has worked with young people and their families for over 24 years, I have never witnessed anything like the “Mental Health Pandemic” that is currently affecting young people. This cohort have seen their education, relationships and hobbies obliterated by Covid—19 lockdowns. Many who were just about managing, in an already highly stressful socio-cultural environment, have been considerably adversely affected. We have seen young people who have been managing really well for years, return to services. The reason for this is that many of the things that young people, and adults, have used to keep mentally fit are no longer available to them. This is especially noticeable in my role as an Adolescent Psychotherapist. Many of the coping skills and responses that we would suggest to young people, such: as “meet your friends”, socialise, get a part-time job, feel purposeful connect with hobbies and pastimes, have all been unavailable to young people for the past year and therefore the resources at the disposal of many mental health professionals are severely compromised. Many of us have been scraping the bottom of the proverbial barrel as we suggest things like “go for a walk”, “Zoom call your friends” or “listen to some solitary mindfulness/ relaxation techniques”. The futility of these suggestions is not lost on young people and the helplessness of mental health professionals is obvious. This is causing considerable strain on everyone. It is wonderful that we have this April edition to increase our professional knowledge base of young people’s current state of wellbeing, and we are provided with supportive evidence-based examples of what can be utilised to build their resilience and coping skillset as we re-emerge from the Covid-19 era. As we begin to repair from the psychological impact of Covid-19 Lockdowns, a key aspect will be our capacity to engage young people in adaptive coping strategies. In this edition of the CCiP Journal, we feature a paper by Walsh & Harland which explores this challenge, especially with adolescent boys. Due to traditional notions of masculinity and stigma, it has been particularly challenging to engage this cohort in emotional support. This paper draws on the authors’ 30 years of social research in Northern Ireland where they share practical insights which will benefit educators and practitioners as we move forward into a PostCovid world. Also, in this edition we are treated to an Italian Study by Inguglia et al. who explore the role of parent-adolescent relationships in binge-eating and binge d
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